1,720,973 research outputs found
Mutuality in Motor Neuron Disease: A Mixed-Method Study
BACKGROUND: Mutuality, a positive relationship between caregiver and care receiver that affects patient's health and caregiver's burden, stress, and well-being, has never been investigated in motor neuron disease. METHOD: We conducted a mixed-method study with convergent parallel design. Quantitative data were collected with the Mutuality Scale, and qualitative data were collected using deep interviews. The sample was composed of 30 people with motor neuron diseases and 24 family caregivers. RESULTS: Deductive, qualitative content analysis of the interviews confirmed the presence of mutuality and its 4 dimensions. The average score of patients' Mutuality Scale was 3.07 (SD, 0.79; range, 1.3–4), and that of the caregivers was 3.16 (SD, 0.53; range, 2.2–3.9). The dimensions “love” and “shared values” had the highest scores, whereas the dimension “shared pleasurable activities” had the lowest score. Patients' and caregivers' answers correlated. CONCLUSION: Mutuality concept and its 4 dimensions had content validity in motor neuron disease people. Nurses should consider the level of mutuality and adopt strategies to increase and preserve it
Efficacy, effectiveness, usability and acceptability of devices for female urinary incontinence: A scoping review
Aims and objectives Investigate evidence available on the efficacy, safety and acceptability of devices for the management of female urinary incontinence, in which clinical settings and specific female populations they have been tested. Learn more about healthcare professionals' perspectives and experiences regarding female urinary incontinence devices. Background Urinary incontinence is defined as the involuntary leakage of urine, estimated to affect 25%-45% of women. Urinary incontinence predisposes the skin to urinary incontinence dermatitis, it is one of the most common documented causes of inappropriate urinary catheterisation, favouring catheter-associated infection. Several products for managing female urinary incontinence are available, no accurate and systematic data on usability, effectiveness and associated outcomes of these products are available. Design and Methods A scoping review was conducted, using a methodological framework including the following five steps: identification of the research question; identification of relevant documents; selection of documents included in the review; tracking of information and data; synthesis and reporting of results. Twenty-one articles were selected. PRISMA-ScR Checklist was followed. Results The devices explored in the studies were as follows: female external urinary catheter; disposable sanitary pads, diapers or sanitary pads used to manage urinary incontinence in women; mechanical devices; a new prototype of underwear that tracks where pads lose; reusable underwear for light incontinence; a new intelligent system pad. Conclusions New smart pads, urine suction systems and female external catheters appear to be effective in preventing and reducing urinary incontinence dermatitis. The female external catheter reduces the days of indwelling catheterisation and could reduce the incidence of catheter associated urinary tract infection; therefore, it should be recommended
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
The association between mutuality and quality of life in adults with chronic illnesses and their nurses : actor-partner interdipendence model analysis
Aim: To examine the association between mutuality and quality of life in nurse–patient dyads. Design: A cross-sectional multi-centre study was conducted. Methods: The study was conducted in five tertiary hospitals in Italy. We enrol both inpatients and outpatients with chronic diseases and their nurses with a convenience sampling. One-hundred ninety-two dyads participated to the study. A self-assessment instrument including the Short-Form 12 Health Survey (SF-12), and the Nurse Patient Mutuality in Chronic Illness scale (NPM-CI scale), in the two versions—one for patients and one for nurses, was administered. The effects of nurse–patient mutuality on the physical and mental quality of life of nurses and patients were estimated with a series of actor-partner-interdependence models (APIM). Results: Patients' and nurses' perceptions of their mutuality were positively correlated. For patient mental quality of life, there was a statistically significant actor effect both for patients, and for nurses. There was also a consistent statistically significant partner effect for patient mental quality of life. There were no statistically significant actor or partner effects for the nurses' and patients' physical quality of life. This construct may be influenced by additional components, further studies are needed. Conclusions: Mutuality between nurses and patients in chronic diseases influence both patient and nurse quality of life. Implications for the Profession and/or Patient Care: Our results support the importance of taking a dyadic perspective when considering mutuality and quality of life in nurse–patient dyads. Impact: Nurse–patient mutuality is an indicator of a high-quality relationship, which allows shared goals and shared decision-making. Quality of life is one of the most important outcomes for chronic conditions patients and is an indicator of well-being. Quality of life is also an important variable in healthcare professionals' lives. Little is known about the association between mutuality and quality of life in nurse–patient dyads. Mutuality has an actor effect on patient's and nurse's quality of life and has a negative partner effect on patient's quality of life. The understanding of mutuality and interdependence within the dyad, could increase mental quality of life in nurse–patient dyads. Reporting Method: STROBE checklist for cross-sectional studies was followed in this study. Patient or Public Contribution: Patients were involved in the sample of the study
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
L’utilizzo della Classificazione Internazionale per la Pratica Infermieristica (ICNP®) in ambito pediatricoe neonatale: revisione della letteratura = The use of International Classification for Nursing Practice (ICNP®) in pediatric and neonatal settings: literature review
INTRODUZIONE: La letteratura indica che un utilizzo di terminologie infermieristiche
standardizzate porti a un miglioramento della qualità dell’assistenza e della sicurezza dei
pazienti, oltre che a un implemento della possibilità di svolgere ricerca. ICNP® è una
terminologia infermieristica standardizzata proposta da ICN di tipo combinatorio, adattabile
a diversi contesti professionali, tra cui quello pediatrico e neonatale.
METODO: E’ stata svolta una revisione della letteratura allo scopo di indagare l’utilizzo del
linguaggio ICNP® nella pratica professionale in area pediatrica e neonatale attraverso le
banche dati Medline/Pubmed, CINAHL, Embase, Web of Science e Scopus.
RISULTATI: Sono state incluse nella revisione 44 pubblicazioni, 33 riguardanti l’ambito
pediatrico e 11 riguardanti quello neonatale. E’ emerso che ICNP® è utilizzabile in entrambi
gli ambiti, permette di descrivere l’assistenza erogata in diverse fasce d’età, in contesti
ospedalieri o extraospedalieri e in casi di situazioni cliniche specifiche.
DISCUSSIONE: ICNP® risulta in grado di descrivere l’assistenza, implementare piani di
assistenza infermieristica, approfondire il tipo di assistenza erogata a fini manageriali, studiare
alcuni concetti o situazioni specifiche di area pediatrica e neonatale. ICNP® è adattabile a
diversi modelli concettuali dell’assistenza infermieristica. Pochi studi interessano l’effettiva
implementazione del linguaggio in un contesto clinico o l’analisi di efficacia del suo utilizzo
in questo ambito. Servono ulteriori ricerche per verificare l’efficacia di utilizzo di ICNP® in
contesti clinici neonatali e pediatrici e per sviluppare Cataloghi di contesto.INTRODUCTION: Literature reports that the use of Standardized Nursing Terminology con-
tributes to a better implementation of nursing care and patients’ safety and to do research.
ICNP® is an international and combinatorial standard terminology proposal by ICN, adap-
table to different settings, among which paediatric and neonatal.
METHODS: A literature review on different databases (Medline/Pubmed, CINAHL, Embase,
Web of Science and Scopus) was conducted to investigate the use of ICNP® in professional
practice in paediatric and neonatal settings.
RESULTS: 44 papers were included in the review; 33 of which focused on the paediatric set-
ting while 11 on the neonatal setting. It is evident ICNP® is usable in both settings, permit-
ting to describe nursing care to different age groups, in-hospital, out-of-hospital and in spe-
cific clinical situations.
DISCUSSION: ICNP® is up to the task of describing nursing care, implementing nursing care
plans, analysing types of nursing care for management aims, studying concepts or specific
pediatric or neonatal situations. ICNP® is adaptable to different nursing frameworks and
models. Few studies analyses ICNP® implementation or effectiveness in clinical settings.
Additional research is needed to verify ICNP® effectiveness in paediatric and neonatal settings
and to implement contextual catalogues
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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